Población objetivo del tamizaje de cáncer cervicouterino en el sistema público de atención chileno y su relación con la cobertura de PAP: Implicancias en políticas de salud y asignación de recursos públicos

S, María Teresa Urrutia; Gajardo, Marcela

doi:10.4067/s0034-98872016001200006

Cited by 5 publications

(2 citation statements)

References 6 publications

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“…Actually, the cervical cancer continues being a preponderant cause of mortality in the women at world level, although it is the neoplasia with the biggest demonstrated potential of second prevention [9].…”

Section: Discussion Of the Resultsmentioning

confidence: 99%

Cervical cancer in patients without abnormal cytology. Youth island, study by four years

Gómez¹,

Rodríguez²,

Díaz³

et al. 2018

J Pregnancy Reprod

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Study the epithelial cervical lesions is a priority in the prevention of this cancer that it shows an evident increase of its morbidity and mortality. A retrospective descriptive study showed the behavior of 78 patients with cervical cancer without abnormal pap smear that were attended in the Young Island during June/2013 to May/2017. The 58% of the patients were younger than 42 years old, the average of first sexual relation was after 16 years old and the average of delivery and miscarriage was minor of two gestations; the 51% was attended for cervical lesions and 68% had a lesion area between 100-299mm 2 . To 40% of the patient needed conization to diagnostic, 65% had earlier stages and 62% received surgery as primary treatment. The results of this study can be to design local strategies oh health to decrease the morbidity and mortality by cancer.

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Section: Discussion Of the Resultsmentioning

confidence: 99%

Cervical cancer in patients without abnormal cytology. Youth island, study by four years

Gómez¹,

Rodríguez²,

Díaz³

et al. 2018

J Pregnancy Reprod

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“…Definición operacional: características que presenta la institución sea del recurso material, ambiental o humano, los cuales se relacionan a la no adherencia al tamizaje de PAP en las participantes en estudio.No adherencia al tamizaje de Papanicolaou Definición conceptual: no realización de al menos un PAP en los últimos tres años(46). Definición operacional: el incumplimiento al tamizaje para cáncer de cérvix por Papanicolau que se está ausente o que es > 3 años.…”

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Factores de riesgo asociados a la no adherencia al tamizaje de Papanicolaou en pacientes atendidas en el Instituto Nacional Materno Perinatal, 2022

Herbas Gutierrez

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Objetivo: Determinar los factores de riesgo asociados a la no adherencia al tamizaje de Papanicolaou en pacientes atendidas en el Instituto Nacional Materno Perinatal, 2022. Metodología: Estudio de tipo observacional, analítico, transversal y prospectivo, con una población de 720 mujeres, donde la muestra fue de 94 pacientes que presentaron no adherencia al tamizaje PAP y 94 que si presentaron adherencia. Los datos se recolectaron por un cuestionario y se utilizó el programa SPSS 25. Resultados: La edad promedio de las pacientes fue 34.5 años, el 52.1% instrucción secundaria, el 62.8% convivientes, el 89.4% fueron de zona urbana, el 82.4% con vivienda alquilada, mientras que la edad promedio de la primera relación sexual fue 18.2 años y el número promedio de parejas sexuales fue 2.7. El 24.5% tuvo familiar directo con diagnóstico de cáncer, el 25% presentó obesidad, el 41% expresaron dificultad de citas para PAP y el 29.8% se realizaron PAP por un profesional varón, además, el 83.5% presentaron tener su último PAP durante y después del año 2020. Por otro lado, la edad (p=0.000, RPa=1.227), la dificultad de citas para PAP (p=0.019, RPa=1.124) y PAP realizado por un profesional varón (p=0.004, RPa=1.165) fueron factores de riesgo asociados a la no adherencia al tamizaje de Papanicolaou. Conclusión: Existen factores de riesgo sociodemográficos e institucionales asociados a la no adherencia al tamizaje de Papanicolaou en pacientes atendidas en el Instituto Nacional Materno Perinatal, 2022.

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Detection and genotyping of HPV in urine samples from Chilean women attending primary health care centers

Vergara

Balanda

Hidalgo³

et al. 2017

Med Microbiol Immunol

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Cervical cancer is the second most common malignant neoplasm in women worldwide representing approximately 10% of all types of cancers. Triage of women through cervical cytology has been an important strategy for the surveillance and control of new cases of cervical cancer. However, in many regions around the world cervical cytology has a low coverage compared to developed countries. The molecular detection of HPV is the most effective method to increase the screening sensitivity of women at risk of developing cervical cancer. There are very few studies about the efficacy of urine testing for detection of HPV in women followed up in primary health care centers. Consequently, the efficacy of using urine HPV screening in these populations has not been addressed yet. Here, we compared the detection of HPV in simultaneous urine and cervical samples of women followed up in primary health care centers. Urine and cervical samples were analyzed in 543 women attending at primary health care centers. HPV was detected by real time PCR, and HPV typing performed by PCR-RLB. A general HPV concordance of 86.2% (κ = 0.72) was determined between urine and cervical samples. The concordance for HPV-16 and 18 was almost perfect (κ = 0.82) and strong (κ = 0.77), respectively. The sensitivity and specificity for all HPV genotypes in urine using cervical samples as reference were 82.1 and 93.7%, respectively. The results showed that urine is a good alternative as clinical sample for HPV screening in women attending primary health care centers. Therefore, urine should be used as an alternative sample for increasing triage coverage either in refractory women participating in Pap surveillance programs or when cervical samples are not available.

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Población objetivo del tamizaje de cáncer cervicouterino en el sistema público de atención chileno y su relación con la cobertura de PAP: Implicancias en políticas de salud y asignación de recursos públicos

Abstract: Población objetivo del tamizaje de cáncer cervicouterino en el sistema público de atención chileno y su relación con la cobertura de PAP. Implicancias en políticas de salud y asignación de recursos públicos (Rev Med Chile 2016; 144: 1553-1560

Cited by 5 publications

References 6 publications

Cervical cancer in patients without abnormal cytology. Youth island, study by four years

Cervical cancer in patients without abnormal cytology. Youth island, study by four years

Factores de riesgo asociados a la no adherencia al tamizaje de Papanicolaou en pacientes atendidas en el Instituto Nacional Materno Perinatal, 2022

Detection and genotyping of HPV in urine samples from Chilean women attending primary health care centers

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